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_ 1 <br /> � <br /> � I <br /> everetl <br /> Q APPLICATION FOR RIGHT-C?F-WAY USE PERMIT <br /> � Type or print clearly with ink <br /> `� PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS �v 3G�J � <br /> �VERETT,WASHINGTON PERMIT NO. . <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR FERh71SSION TO — <br /> AT THE FOLLOWING LOCATION I �� �1 L��n/���� — <br /> flRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ��eiJJ <br /> � � <br /> ����` , <br /> C � � <br /> /���� � ' � <br /> �� � , <br /> � <br /> � <br /> � <br /> I <br /> � i <br /> ( DRIVEWAY SECTION <br /> PERMIT IS VQ►LYD FOR �O DAVS � —� <br /> COPY OF THIS APPLICATION TO BE POSTED [� LIP —� <br /> ON JOBSITE. � 30�_� I 30" <br /> CALL FOFd IN.c.sPECT10N 259-881 9 I"�— ---'�� <br /> Z4 HOURS BEFORE CONSTRUCTION rne undersiqned ow��� hereby aorees �o hold nntl save harmless <br /> I ihe Ciiy �1 Evere�t from any and all claims lor dama9es. cosis. <br /> � espenses, or causes oi action Ihat may anse because ol msla'labon <br /> and maiNenance of Ihe impmveme�t or olher ngh�-ol-way use <br /> � I he�e�o applietl lor antl furt�er ae�rees to remcve same upon nohce <br /> Irom V�e Gty antl Io roplave pubhc propc�ly tlama9etl ihereby. <br /> DEPARTMENT APPROVALS I <br /> SEWER COMMUNILATIONS _ / <br /> pRAIN4GE TPAFFIC /� �� <br /> ��O <br /> yyq7Ep GL�NNING SIG iUn�E/O���F['UC�NL <br /> � ' - _ _ _, -; �7 f�� fLrP-�� � <br /> i � <br /> sraeer j i-�, c. _ _ . . . . - uoa�ss <br /> \ �,���_ � ��Zp3 <br /> �Cai/ � ��-z u di �/U 2/j D p1° �� , ��� �_ �21 <br /> APPROVED F(,(CONSTRUCTION ` � �^ <br /> � (� ,�........_..........__._. _. .. ..__ . .q lEl �O4C NUM�E�i ALtERNAiE <br /> \..d-x��, 7- �V� r�fb O� �-p�3' �� -- <br /> APPROVED AS CONSTRUC O Cj'- - U�� �!Uli'� o��f OAiE <br /> /. l;Ol�dGi'f?I_ICTIGfV/i�.; f31_IILT rcr 1978 <br />